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BANNOCKBURN FAMILY WELLNESS NPI 1760809735


NPI Information

NPI: 1760809735
Provider Name: BANNOCKBURN FAMILY WELLNESS
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2521 WAUKEGAN RD
SUITE 112
BANNOCKBURN, IL
ZIP 60015
Phone: (847) 267-0778
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BANNOCKBURN FAMILY WELLNESS is a chiropractor in Bannockburn, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BANNOCKBURN FAMILY WELLNESS NPI is 1760809735. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2521 WAUKEGAN RD
SUITE 112
BANNOCKBURN, IL
ZIP 60015-569
Phone: (847) 267-0778
Fax: (847) 267-0668

The provider's authorized official is Annette Rae Giovannetti .
The authorized official title is Director and has the following contact phone number (630) 605-0583.

The enumeration date for this NPI number is 3/27/2014 and was last updated on 3/27/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor038011144ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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